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Illinois rates for HCPCS 90666

Influenza virus vaccine (IIV), pandemic formulation, split virus, preservative free, for intramuscular use

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $25.12 / $25.12
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $38.90 / $74.13
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $29.51 / $31.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20